医护一体化肺康复模式在慢性阻塞性肺疾病患者中的应用价值研究

Study on the Application Value of Pulmonary Rehabilitation Model of Integration of Medical and Nursing in Patients with Chronic Obstructive Pulmonary Disease

目的探究医护一体化肺康复模式在慢性阻塞性肺疾病(COPD)患者中的应用效果.方法选择2021年1月—2022年1月本院门诊及住院部收治的104例COPD患者为研究对象,按照随机数字表法分为对照组(n=52)和观察组(n=52).对照组采用常规护理,观察组采用医护一体化肺康复模式,干预时间均为1个月.比较两组肺功能、血气分析指标、运动耐力、生活质量.结果两组护理前肺功能、血气分析指标、运动耐力、生活质量对比,组间差异无统计学意义(P>0.05);观察组护理后第1秒用力呼气容积(FEV1)(1.40±0.25)L、用力肺活量(FVC)(2.19±0.43)L均大于对照组,每分钟最大通气量占预计值百分比(65.69±7.26)%、FEV1/FVC(59.62±6.73)%均高于对照组,组间差异有统计学意义(P<0.05);观察组护理后动脉血氧分压(71.93±7.85)mmHg、血氧饱和度(95.67±3.26)%均高于对照组,动脉血二氧化碳分压(44.19±5.07)mmHg低于对照组,6 min步行距离(390.67±36.19)m长于对照组,健康调查简表评分(78.56±5.83)分高于对照组,组间差异有统计学意义(P<0.05).结论医护一体化肺康复模式能够有效促进COPD患者的肺功能及血气分析指标恢复,提升其运动耐力,进而改善其生活质量.

Objective To explore the application effect of the pulmonary rehabilitation model of integration of medical and nursing in patients with chronic obstructive pulmonary disease(COPD).Methods 104 COPD patients admitted to the outpatient and inpatient departments of the hospital from January 2021 to January 2022 were selected as the research objects,and divided into a control group(n=52)and an observation group(n=52)according to the random number table method.The control group received routine nursing,and the observation group received the pulmonary rehabilitation model of integration of medical and nursing.The intervention time in both groups was 1 month.Pulmonary function,blood gas analysis indexes,exercise tolerance and quality of life were compared between the two groups.Results There was no significant difference in pulmonary function,blood gas analysis indexs,exercise tolerance and quality of life between the two groups before nursing(P>0.05);after nursing,the forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)of the observation group were(1.40±0.25)L and(2.19±0.43)L,respectively,which were larger than those of the control group,the maximum ventilatory volume per minute as a percentage of expected value and FEV1/FVC were(65.69±7.26)%and(59.62±6.73)%,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05);the arterial blood partial pressure of oxygen and blood oxygen saturation in the observation group after nursing were(71.93±7.85)mmHg and(95.67±3.26)%,respectively,which were higher than those in the control group,the arterial blood partial pressure of carbon dioxide was(44.19±5.07)mmHg,which was lower than that of the control group,the 6 minute walking distance was(390.67±36.19)m,which was longer than that of the control group,the score of the MOS item short from health survey was(78.56±5.83)points,which was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The pulmonary rehabilitation model of integration of medical and nursing can effectively promote the recovery of pulmonary function and blood gas analysis indexes in COPD patients,improve their exercise tolerance,and then improve their quality of life.